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住院恶性肿瘤患者抑郁障碍的临床特征分析
宗 玲,景举珍,曲鸿儒,马晓雷,吕淑艳,赵莹莹
528451 广东,中山市第三人民医院司法鉴定科(宗 玲);528400 广东,中山市中医院影像科(景举珍);300300 天津,天津市安宁医院(曲鸿儒,马晓雷,吕淑艳);100008 北京,北京安定医院(赵莹莹)
摘要:
[摘要] 目的 分析恶性肿瘤住院患者抑郁障碍的检出率及临床特征。方法 由经过培训的两位精神科医师对肿瘤内科的413例住院恶性肿瘤患者进行《简明国际神经精神访谈》(中文版)、特质应对方式问卷评定,并收集患者的社会人口学和肿瘤特征变量,最后对所有数据进行分析。结果 恶性肿瘤住院患者抑郁障碍的检出率为22.0%;非在婚状态、肿瘤远处转移、肿瘤确诊时间间隔短于1.5年、接受姑息治疗和乳腺癌与患者抑郁障碍显著相关;消极应对得分明显较高。结论 肿瘤内科住院患者抑郁障碍检出率较高,肿瘤科医师应重视患者的精神卫生问题,特别是应注意改善患者的不良认知及行为。
关键词:  抑郁障碍  恶性肿瘤  住院患者
DOI:10.3969/j.issn.1674-3806.2016.08.08
分类号:R 730
基金项目:
Clinical characteristics of depressive disorders in inpatients with malignant tumors
ZONG Ling, JING Ju-zhen, QU Hong-ru, et al.
Clinical characteristics of depressive disorders in inpatients with malignant tumors
Abstract:
[Abstract] Objective To investigate the detectable rate and the clinical characteristics of depressive disorders in the inpatients with malignant tumors.Methods A total of 413 cancer inpatients were recruited from the department of oncology and were surveyed with a Chinese version of the Mini International Neuropsychiatric Interview and TCSQ by two trained psychiatrists. The patients′ socio-demographic and clinical data were collected during the interview. All the data were analysed in the end.Results The detectable rate of depressive disorders in inpatients with malignant tumors was 22.0%; Unmarried state, distant metastasis of cancers, a duration of time≤1.5 years before the diagnosis of cancer, receiving palliative care, and having breast cancer were the high risk factors of depression.Conclusion The inpatients in the department of oncology have a high detectiable rate of depressive disorders. Oncologists should pay more attention to the mental health problems of patients with cancerous tumors, especially with negative cognitive and cognition.
Key words:  Depressive disorder  Malignant tumors  Inpatients